CosBeauty is the #BeautyAddict's guide to lifestyle, health and beauty in Australia.
In this issue:
- The Breast Report - your guide to augmentation
- Put an end to bad hair days
- 24 hour makeup, products that last
- Sex appeal - do you have it?
east implant feature 1. Implant shape Choosing the right implant is dependent on your existing breast size, shape, symmetry and projection, body type, and your personal preferences. There is no one breast implant shape that is best for everyone. Your surgeon is the best resource for determining what breast implant is best for you and your body type. Round implants Round implants are circular with an even projection of volume. They are a good choice for those who want more fullness in the upper part of the breast and tend to give greater cleavage. Many surgeons agree that round implants are typically the best choice for those patients with well-shaped natural breasts who desire a straightforward breast enhancement. Teardrop implants Teardrop, or anatomical, implants more closely resemble the natural shape of a breast, gradually sloping downwards to produce an attractive straight line from the collarbone to the nipple. Teardrop implants tend not to be as full as round implants but because they are fuller in the lower half they can also provide greater projection in proportion to the size of the base, making them particularly suitable for women with little natural breast tissue. Mild elevation of the breast and the nipple can also be achieved, making them particularly suitable for women who have mild droopy or tuberous breasts. 2. Implant size Breast implant sizes are designated by their volume, typically ranging from 90 to 900 cubic centimetres (cc), or by their weight. One gram of silicone is equivalent to slightly less than 1ml (1cc). The higher the number, the larger the implant. They are also made with different diameter bases to suit different widths of chest wall and with low to high profiles (amount of forward projection). For this reason, each manufacturer produces a number of ‘styles’. It’s important to take your natural breast width into consideration. Your surgeon will measure the base diameter of your chest to determine the ideal width of implant. If the implant is too wide for your chest, you may get ‘webbing’ between your breasts (symmastia) or too much ‘side boob’. If the implant is too narrow, it will not fill the chest appropriately and be difficult to create a shapely cleavage. The choice of implant projection is to a large extent a personal one. A woman with adequate breast tissue and a shape she is happy with may opt for a lowprofile implant that will simply increase the size of her breasts. Another patient seeking to create cleavage, or a patient with some degree of sag, may prefer a high-profile implant that can help achieve these results. Your surgeon will take into consideration the width of your chest and breast tissue and advise you on the most suitable implant size and style for your individual anatomy.
essentials 3. Implant material This next crucial factor looks at the type of fill (saline or silicone) as well as the shell of the implant wall (smooth or textured). Silicone vs saline Saline and silicone breast implants both have an outer silicone shell; however they differ in material, consistency and techniques used for placement. Both types of implants have their own advantages and risks. Silicone gel-filled implants are used more commonly in Australia. Silicone implants contain a cohesive gel, designed to mimic real breast tissue. It has a slightly firm, nonrunny consistency, which can give a more natural feel. As the gel is not liquid, the risk of dispersal if the implant ruptures is minimised. It also typically maintains its shape better than a saline implant, especially in the upper part of the implant. Saline-filled implants use a medical-grade saltwater solution, which makes the implant feel like a water-bed. This can be controlled to an extent by the volume of fill in the implant. If implant rupture occurs, the saline is absorbed by the body. However, saline implants feel firmer than silicone implants and have a higher risk of visible folds and ripples. Unlike silicone gel implants, saline implants can be filled through a valve during surgery. Because of this, the insertion of the implants generally requires a smaller incision than that associated with silicone gel implants. The amount of fill can also be adjusted after surgery, which is not possible with fixed silicone gel implants. Smooth vs textured Implant shells can be smooth or textured. Smooth-shelled implants are easy to insert and may make the breast move and feel more natural than a textured shell in certain patients. However, they have increased risk of capsular contracture (hardening of the breast), which is a common reason for re-operation. Textured implants have a thicker shell and the very nature of their surface means they can grab onto and adhere to the surrounding tissue, causing less friction between the implant and breast pocket and therefore helping to reduce the risk of capsular contracture. Many www.cosbeauty.com.au 103